Skip to content
Contact us

Broken Nose Evaluation

What a broken nose evaluation asks, with sample questions on the injury, breathing, drainage, and nose history.

This page covers the intake questions for a broken nose evaluation: the injury, swelling and shape, breathing, drainage, and earlier nose problems. Its questions are a typical set built from a UK hospital's broken nose checklist and US ENT intake forms.

Patient answering broken nose evaluation questions with the AI Doctor avatar at clinic check-in kiosks

Broken nose evaluation, handled by the AI Doctor avatar

AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a broken nose evaluation in the patient's own language, strictly following the practice's instructions.

Clinician reviewing a patient's broken nose evaluation answers collected by the AI Doctor avatar
  • Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
  • Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
  • Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
  • Key details at a glance. The care team sees what matters up front and decides who needs attention first.

The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.

Sample broken nose evaluation questions

Questions built from related intake forms, written out so you can see the level of detail. Every practice words its own form differently.

  • When did the injury happen?Injury
  • How did the injury happen?Injury
  • Is your nose still swollen?Appearance
  • Has the shape of your nose changed?Appearance
  • Has your nose felt blocked since the injury?Breathing
  • Is one side more blocked than the other?Breathing
  • Has fluid run from your nose since then?Drainage
  • Have you had nosebleeds since the injury?Drainage
  • Have you broken your nose before?Past history
  • Have you had nose or sinus surgery?Past history
  • Do you have a bleeding disorder?Health history
  • Which medicines do you take?Health history

These are examples to read, not a form to fill in.

Broken nose evaluation: FAQ

What does a broken nose evaluation ask?

The sample questions on this page are a typical set built from a broken nose checklist and three US intake forms. The checklist is from the Dudley Group NHS Foundation Trust in the UK. The forms are from University of Michigan otolaryngology, the Stanford Sinus Center, and the Penn Smell and Taste Center. This page groups them into six areas: injury, appearance, breathing, drainage, past history, and health history.

Who answers the broken nose evaluation questions, and when?

The patient, before the ENT visit. The practice decides when the questions are asked.

When does the Dudley checklist apply?

The Dudley Group leaflet gives it to patients without a set follow-up. They go through it once the swelling has gone down or one week after the injury, whichever is sooner. It asks about swelling, shape, blockage, fluid, and other concerns.

Do the forms ask about earlier nose injuries?

Yes. The Penn Smell and Taste Center questionnaire asks about a broken nose, a deviated septum, and earlier nose surgery. The University of Michigan form lists facial fracture surgery.

Does it ask which side of the nose is blocked?

Yes. The Stanford Sinus Center questionnaire asks which side is more congested. The Dudley checklist asks whether the nose has felt blocked since the injury.

What happens after the patient answers?

The practice's team reads the answers before the visit. The avatar collects them and does not judge the injury or suggest treatment.

Does AI Doctor give medical advice?

No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.

Can patient answers stay on our own servers?

Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.

Set up your AI Doctor in Genesis AI Avatar Studio

Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.

  1. 01Choose the AI Doctor avatar.
  2. 02Add your practice's FAQs and visit information.
  3. 03Talk to it, then publish it.
Setting up AI Doctor for the broken nose evaluation in Genesis AI Avatar Studio on a laptop